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Apply for Milestone Plan

Apply for Correction Complexion Program

Milestone Skin Preparation Plan Application

Full Name*

Phone*

Email*

Event Type*

Wedding

Photoshoot

Other

Event Date*

Month

Day

Year

Upcoming professional photos or shoots? (Yes / No / Date)*

Important fittings or appointments where skin will be visible?*

Skin Concerns*

Previous Treatments*

I understand this plan requires consultation and approval

I understand pricing varies based on timeline and treatment needs

I acknowledge the milestone plan is non-refundable once approved

Corrective Complexion Program Application

Client Information

First name*

Last name*

Email*

Phone*

Program Fit + Commitment

What skin concern are you seeking to correct, and how long have you struggled with it?*

What treatments and/or products have you tried in the past for this concern?*

Have you previously completed a Complexion Strategy Session with Gisela?*

Yes

Are you prepared to commit to bi-weekly in-studio treatments for 12 weeks?*

Are you willing to follow a prescribed home-care routine consistently for 12 weeks?*

Yes

Safety + Medical

Are you currently under a dermatologist’s or physician’s care?*

Yes

List any prescription medications, acne medications, or active ingredients you are currently using (Accutane, Tretinoin, antibiotics, etc.). If none, write “None.”*

Do any of the following apply? (Check all that apply)*

Pregnant or nursing

Trying to conceive

History of eczema/dermatitis

History of rosacea

None

Other

Required Acknowledgments (Must be Checked)

I understand this is a 12-week commitment program

I understand payments are non-refundable once enrolled

I understand enrollment requires approval

I agree to follow prescribed home care

Select Your Application

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Email

beautyxgisela@gmail.com